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HomeMy WebLinkAboutBuilding Permit #108 - 25 CHESTNUT COURT 8/10/2009 TOWN OF NORTH ANDOVER �7 APPLICATION FOR PLAN EXAMINATION Permit NO: o Date Received Date Issued: /9 d IMPORTANT: Applicant must complete all items on this page LOCATION C�j�S •C�. C J•e Print PROPERTY OWNER c�&ua, vxC� _ Pfint MAP NO: 40 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identifcation lease Type or Print Clearly) OWNER: Name: e 7z 6x Phone: -7;?J"- a 1 Z;kS Address: CONTRACTOR Name:_ A �� ;>��C- Phone �'7 7r�- �O) 8 Address:_ Supervisor's Construction .License. Exp.. Date: b Home Improvement License: ��j Exp. Date: ! Jl ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. �^ ob Total Project Cost: $ 2� FEE: $ 5g. 0) Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature-of Agent/Owner Signature of contracto Plans Submitted Plans Waived Certified Plot Plan Stamped Plans .. .. .. .. :...: .' .. I. - .,t .. .. - .. .... .... :- ...-..:... ..._-..:.... ... -.. -; -'j ... .. . .. . . ... :'. _ .: .. .. .. .... .:. - . - .-jr �: ..... .... .. .. - ,.. I...... .-.-. ._. .. - _.... :.: _.. - _ r,•• _ '..I:'.-.. ._may - .17; .. ,. .. ... _... .: .. .. : f - - - w _ ! _ *.• Ii� .. . - t I - -- . . . " _ I - .. - .. ._..,. .I Location�� ?�� . .. No. AM Date P�0 d f MORTIy TOWN OF NORTH ANDOVER I - y. 3? _41 •• O - O - a s + ! �o Certificate of Occupancy $ " 1. + - ��s��M�s<�' Building/Frame Permit Fee $ ? x" Foundation Permit Fee $ Other Permit Fee $ r d ::� TOTAL $ j " I 11 •_; Check # _1 < - _..:: -.a Building Ins for :v__'_-- _ . _ -1-7. .. _ . . . . .... .. . ., - - - 4 --- - r<. - ...: .:„... :---- ., . „ w :. . 11 -. .. F TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: _ Located 384 Osgood Street FIRE DEPARTMENT .- Temp bumpster on site yes no Located at 124 Main Street— Fire Department signature/date a 'COMMENTS . Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use) ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit.Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Copy of Contract - - - ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 AORTH T0VM o Andover No. /� ^t7- A dover, Mass COC HICHEWICK RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... . .................................................................. ..... Foundation has permission to erect........................................ buildings on ...... ........ Rough & Chimney to be occupied as.................... 'Oe............rV.1�1........................................................*** provided that the person accepting this permit shall in every respect conform tethe terms of the application on file in. Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .. ................................ Service ......... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. acoRvCERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DDIYYYY) � RSHEB-1 06/05/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Michaud, Rowe And Ruscak Ins. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845 Phone: 978 688 8829 Fax:978 557 2130 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Preferred Mutual Insurance Co. 15024 INSURER B: Acadia Insurance Company R S Hebert Const & Remod, Inc. INSURER C: Commerce Insurance Company 34754 102 Adams Avenue INSURER D: N Andover MA 01845 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EPDLICY EXI IRATION LTR NSR TYPE OF INSURANCE DA (MMIDD/YY ATE MM /YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 m _FLN I ED A X COMMERCIAL GENERAL LIABILITY CPP0100592028 08/09/08 08/09/09 PREMISES(Eaoccurence) $ 100000 CLAIMS MADE IF;X71 OCCUR MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG s2000000 POLICY PROECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 C ANY AUTO 07bMBCM08 12/19/07 12/19/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F� CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY *** E.L.EACH ACCIDENT $ B ANY PROPRIETOR/PARTNER/EXECUTIVE TO BE ISSUED BY ACADIA OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 978-683-4900 ***If you want a Certificate of Worker's Compensation we need your mailing address. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Delucia and Sons IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHO REPRESENT ACORD 25(2001/08) ©ACORD CORPORATION 1988 s-. �� ��uuuvscll� r:�E°+..4�iaGac�ecrQak'a * Board of Building Regulations and Standards � A HOME IMPROVEMENT C647RACTOR RegistriAlCO: 153811 Expirat 0W, V99/2011 T 27.9562 ?r nate Corporation R.S. HEBERT CQ,&f MOt�t-LIPNG INC. { RONALD HEBER7 FOAMS AVE. -NO ANDOVER,MA 01845 AdurinVrial6r iF @ettstt-ttr'ent (of i'tsiiiis;Srfehy Board of Stlikling Piegulatitms and a€tdYar& Construction Supervisor License License: CS 58241 RestrkW4 to: 00 1,02 ADAMS AVE N ANDOVER MA Ot"15 �2 . Expiration! 3#�F1Jy:2�{310 - r R.S. HEBERT Construction & Remodeling Inc. 102 Adams Ave. No. Andover Mass. 01845 (978) 686-0786 Phone / Fax Llc. #.058241 Reg. #.153811 DATE:8/6/09 Owners Name Mr.& Mrs. Fitzgerald Z.fChestnut Ct. North Andover Ma. 01845 Tel.# 978-509-1275 PROJECT: Siding & windows II. GENERAL SCOPE OF WORK DESCRIPTION Supply all material and labor required to build the following. 1. Remove all existing windows from house and replace with new Andersen permashield casement units with white exterior and interior and snap in grills. 16 windows total. 2. Remove 2 sliding glass doors and replace with new Andersen permashield sliding units, white exterior and clear pine interior with grills attached to glass. 3. Remove all existina wood siding and trim from entire house not including the garage. 4. Install Typar house wrap to exterior walls and tape all seams. 5. Install new 1/2x 6" #1 primed cedar clapboards to exterior of house with stainless steel nails. 6. Install new P.V.C. exterior trim including, window caseing,fascia & rake boards,corner boards and soffits. 7.. Install new interior 3-1/2" primed col.casing to all new windows and doors. 8. All trash to be put in dumpster and removed from site. 9. Contractor is not responsible for any painting, interior or exterior. 10. Any rotted or water damage found will be quoted and invoiced separate from this contract. Contractor Owner Owner A. LUMP SUM PRICE FOR ALL WORK ABOVE $ 52600.00 Payment Schedule Deposit $5000.00 Windows come in.$ 14000.00 Start of job $ 10000.00 Doors and windows are installed $ 6000.00 When 1/2 sided $ 10000.00 Job is complete $ 7600.00 Thank You Contractor Date 6 • Owner Date d Contraetor Owner Owner